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Medical Liabilities (Tables) | 12 Months Ended
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Dec. 31, 2019
Disclosure of Medical Liabilities [Abstract] |
Schedule of Medical Liabilities | Medical liabilities consisted of the following:
|  | December 31, 2019 |  | December 31, 2018
Balance, beginning of year |  | $ | 33,641,701 |  |  | $ | 63,972,318 |
Acquired (see Note 3) |  | 27,474,440 |  |  | — |
Claims paid for previous year |  | (33,396,932 | ) |  | (36,549,348 | )
Claims paid on acquired liabilities |  | (25,236,286 | ) |  | — |
Incurred health care costs |  | 274,670,676 |  |  | 209,002,961 |
Claims paid for current year |  | (218,564,072 | ) |  | (167,537,480 | )
Payment to CMS |  | — |  |  | (34,464,826 | )
Adjustments |  | 135,155 |  |  | (781,924 | )
Balance, end of year |  | $ | 58,724,682 |  |  | $ | 33,641,701 |

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